This study proposed an integrated multi-disciplinary approach including a professional and convenient body composition measurement and an immediate counselling after the measurement, followed by 6-month smart-phone based individualized counselling. We believe that this approach will promote healthy eating behaviors and weight management among middle-aged Chinese in Hong Kong.
This is a two-arm, individual level, 6-month randomized controlled trial. The intervention group will receive convenient body composition measurement and 6-month smart-phone based individualized counselling. No specific intervention will be given to the control group except the common anthropometric and body composition measurement. A pretest-posttest evaluation and between-group comparison will be used to test whether the impact/success of the project has been achieved.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
221
As for the body composition assessment, body fat and muscle thickness, body fat percentage and distribution will be measured and a brief face-to-face counseling soon after the measurement will be implemented to the participants. Body assessment were measured by the InBody 270 (Biospace, Seoul, Korea) device, which provides a convenient way of accurate body fat measurement comparable with those obtained using air displacement plethysmography (ADP) (about 90% precision). As for the Whatsapp-based counselling and communication session, qualitative dietary counselling will be offered every two weeks through the Whatsapp. One session contains 15 minutes, including the topics like making a balanced diet (55 % glucose, 30 % lipids and 15 % proteins), diversifying food intake, dietary advices and recommendations in healthy eating behaviors (e.g., eat slowly, eat at a regular time, avoid to skip a meal, drink at least 1.5 L of water each day).
The Hong Kong Polytechnic University
Hung Hom, Hong Kong
The difference of the weight management belief
Four items from belief domain of Chinese weight management scales (WMS) was used to measure the participants' belief of self weight management . Each item is measured by 3- or 4-point Likert scale. The total score change from 4 to 15 with higher scores indicating better weight management belief.
Time frame: From baseline to 6 months after randomization
The difference of the weight management knowledge
The knowledge of weight management was measured by 13 items from the general nutrition knowledge questionnaire (GNKQ). Each item carries one point for a correct answer and the maximum score is 13. A higher score shows better weight management knowledge.
Time frame: From baseline to 6 months after randomization
The difference of health eating behavior
Respondents' food knowledge and behavior were obtained through the food behavior questionnaire (FBQ). The FBQ is a questionnaire with 18 questions querying respondents' behaviors and knowledge about various areas of food and diet-related health such as nutrition label reading behaviors, knowledge of diet/disease relationships and some meal consumption patterns.
Time frame: From baseline to 6 months after randomization
Weight
Weight in kg.
Time frame: From baseline to 6 months after randomization
Body mass index (BMI)
BMI in kg/m\^2
Time frame: From baseline to 6 months after randomization
Waist circumference
Waist in cm
Time frame: From baseline to 6 months after randomization
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Hip circumference
Hip in cm
Time frame: From baseline to 6 months after randomization
Thigh circumference
Thigh in cm
Time frame: From baseline to 6 months after randomization
Systolic blood pressure
Systolic blood pressure in mmHg
Time frame: From baseline to 6 months after randomization
Diastolic blood pressure
Diastolic blood pressure in mmHg
Time frame: From baseline to 6 months after randomization
Body fat percentage
Body fat percentage was measured by a professional body composition analyzer named InBody 270 in %.
Time frame: From baseline to 6 months after randomization
Body fat mass
Body fat mass was measured by a professional body composition analyzer named InBody 270 in kg.
Time frame: From baseline to 6 months after randomization